Ask Our Office Concierge
Let our knowledgeable staff help you today!
Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
Dimensions / Specifications | |
---|---|
Unit of Measure | PK |
Item Dimensions | 8.50 in. x 1.75 in. x 11.63 in. (W x H x D) |
Item Weight | 4.950 lbs |
Carton Pack Quantity | 6 PK |
Carton Pack Dimensions | 9.00 in. x 11.00 in. x 12.00 in. (W x H x D) |
Carton Pack Weight | 33.000 lbs |
Pack Quantity | 125 EA |
This item is sold by the PK which contains 125 EA |
Shipping Info | |
---|---|
Can Ship via UPS? | Yes |
Can Ship via Air Carrier? | Yes |
Hazmat restrictions? | No |
Additional Information | |
---|---|
Is Certified with EPA/CPG? | No |
Considered Green (less environmental impact)? | No |
Made of Some or All Recycled Materials? | No |
Warranty Offered? | No |
Item Specifications | |
---|---|
Brand | Tabbies® |
Global Product Type | Forms-Medical Admissions |
Principal Heading(s) | Any Changes Since Last Visit, Appointment With, Appt. Time, Arrival Time, Date, New Patient, Please Print Name |
Copy Types | Two-Part Carbon |
Form Size | 8.5 x 11.63 |
Number of Columns | 6 |
Forms Per Page | 1 |
Number of Entry Lines | 23 |
Form Quantity | 125 |
Sheet Size | 8.5 x 11.63 |
Layout | One Form per Sheet |
Numbering | Preprinted Entry Lines |
Total Number of Entries per Book | 2,875 |
Paper Color(s) | Blue |
Print and Ruling Color(s) | Black |
Numbering Color(s) | Black |
Finish | Label Stock |
Pre-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Manufacturer Info | |
---|---|
Brand | Tabbies® |
Brand Contact | 800-356-7041 |
Warranty Offered? | n |
Manufacturer Stock No. | 14531 |
Office Max Equivalent SKU | 25432719 |
Office Depot Equivalent SKU | 282653 |
Retail GTIN (UPC) | 00084371145317 |
Country of Origin | US |
UNSPSC Number | 00141118 |
Product ID | 8429821 |